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Contact Information

MEDICAL FOUNDATION OF CENTRAL MISSISSIPPI
828 GRAND AVENUE
YAZOO CITY, MS39194
 Phone: 662-746-2261
 Fax: 662-751-8173
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for MEDICAL FOUNDATION OF CENTRAL MISSISSIPPI

NPI Number 1033440268
LBN Legal business name MEDICAL FOUNDATION OF CENTRAL MISSISSIPPI
Authorized official ELIZABETH MULLINS - (DIRECTOR OF CLINIC ADMINISTRATION)
Entity Organization
Organization subpart 1 No
Enumeration date 01/28/2010
Last updated 01/28/2010 - About 16 years ago
Identifiers
MS License # 06730
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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